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Individual
LAURIE FOX
Active
Individual
LAURIE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT, MT-BC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001577
PA
225A00000X
Music Therapist
PC001577
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104106379-0001
—
PA
Enumeration date
09/26/2010
Last updated
02/27/2023
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